{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T05:06:48Z","timestamp":1788498408388,"version":"build-2803163510"},"reference-count":20,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2014,1,17]],"date-time":"2014-01-17T00:00:00Z","timestamp":1389916800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Stenosing tenosynovitis or trigger finger is a common clinical condition regularly treated with steroid injections. Varied success is reported at early time points following injection. We present a prospective, randomized IRB-approved study to confirm these findings at a long-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adult patients presenting with symptoms of stenosing tenosynovitis who agreed to participate were randomized into two groups. Group 1 received an initial injection of triamcinolone and local anesthetic mixture. Group 2 received the same initial injection and an additional staged injection at 6 weeks. The patients were then followed beyond 2 years. If Group 1 patients were still symptomatic at 6 weeks, another injection was given. An additional injection or surgery was defined as treatment failure. DASH scores were obtained at baseline, 3, 6, and 12 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ninety-seven patients (101 trigger digits) were enrolled in the prospective trial. Fifty-six digits were randomized to the one-injection group versus 45 digits randomized to the two-injection group (\u201cintention to treat analysis\u201d\u2014ITT). After accounting for crossover between the groups, 42 patients received one-injection versus fifty-nine patients receiving two injections (\u201cactual\u201d analysis). Overall failure was the same between the two groups. However, a higher surgery rate was noted for patients having undergone two injections versus one injection [47 % versus 27 % ( p&lt;0.013), ITT]. Diabetes was associated with a higher surgery rate at 1 year within the group of overall failures [56 % versus 37 % ( p=0.0505), ITT]. High baseline DASH score (&gt;40) was associated with a median time of 10 months for failure and 6 months for surgery as per a Kaplan-Meier survival analysis ( p&lt;0.005 and p&lt;0.001, respectively, ITT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>As overall failure of steroid injection for trigger finger is not improved with staged, two-injection treatment, we recommend a single injection initial treatment for trigger finger with a second injection given in cases of recurrence or failure. Diabetes was a risk factor for needing surgery if failure occurred within 1 year. The baseline DASH score is helpful in predicting which patients have a higher chance of failing as well as needing surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11552-014-9603-4","type":"journal-article","created":{"date-parts":[[2014,1,16]],"date-time":"2014-01-16T09:15:25Z","timestamp":1389863725000},"page":"340-345","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":25,"title":["A Prospective Randomized Trial Comparing the Effectiveness of One versus Two (Staged) Corticosteroid Injections for the Treatment of Stenosing Tenosynovitis"],"prefix":"10.1177","volume":"9","author":[{"given":"Emran","family":"Sheikh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John D.","family":"Peters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Will","family":"Sayde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitchell","family":"Maltenfort","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Leinberry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,1,17]]},"reference":[{"key":"bibr1-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00230"},{"key":"bibr2-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(96)80106-9"},{"key":"bibr3-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80068-1"},{"key":"bibr4-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197302000-00014"},{"key":"bibr5-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-195436060-00009"},{"key":"bibr6-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200703000-00006"},{"key":"bibr7-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(89)80024-3"},{"key":"bibr8-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2009.02.029"},{"key":"bibr9-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.3109\/17453677008991530"},{"key":"bibr10-s11552-014-9603-4","doi-asserted-by":"crossref","unstructured":"Lapidus PW. Stenosing tenovaginitis. Surg Clin North Am. 1953 Oct:1317\u201347 PMD 13102191.","DOI":"10.1016\/S0039-6109(16)34037-3"},{"key":"bibr11-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197203000-00015"},{"key":"bibr12-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(03)00172-4"},{"key":"bibr13-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(89)90199-8"},{"key":"bibr14-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(05)80280-1"},{"key":"bibr15-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005617.pub2"},{"key":"bibr16-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198411000-00039"},{"key":"bibr17-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ker315"},{"key":"bibr18-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.323.7309.382"},{"key":"bibr19-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(98)80060-9"},{"key":"bibr20-s11552-014-9603-4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2006.03.022"}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1007\/s11552-014-9603-4","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1007\/s11552-014-9603-4","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1007\/s11552-014-9603-4","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:26:15Z","timestamp":1777447575000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1007\/s11552-014-9603-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1,17]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2014,9]]}},"alternative-id":["10.1007\/s11552-014-9603-4"],"URL":"https:\/\/doi.org\/10.1007\/s11552-014-9603-4","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,1,17]]}}}